Organization
TERRANCE P RILEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE PATRICK RILEY DDS (DENTIST OWNER)
(319) 331-1716
Entity
Organization
Contact information
Practice address
5345 SPRING ST, DAVENPORT, IA 52807-2764
(319) 337-2599
(319) 337-7948
Mailing address
2441 CORAL CT STE 2, IOWA CITY, IA 52241-2872
(319) 337-2599
(319) 337-7948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
S137
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/30/2006
Last updated
11/01/2021
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